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General NPI Number Information
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NPI Number | 1326149501
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Entity Type | Organization
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Legal Business Name | VENLEE CORPORATION
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 1400 S JACKSON ST SUITE 3
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City | SEATTLE
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State | WA
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Zip | 98144-2059
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Country | US
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Telephone | 206-329-0570
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Fax | 206-328-2413
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Provider Business Mailing Address
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Address Line | 1400 S JACKSON ST SUITE 3
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City | SEATTLE
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State | WA
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Zip | 98144-2059
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Country | US
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Telephone | 206-329-0570
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Fax | 206-328-2413
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Authorized Official
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Title or Position | PHARMACY MANAGE
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Name | MR. LOC BA NGUYEN SR.
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Credential | R. PH.
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Telephone | 206-329-0570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHAR.CF.00004995
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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